ABSTRACT
Response to anxiety has been analyzed in 195 patients operated because of intracranial expansive process and influence of standard and individualized preoperative preparations over it.
Subject(s)
Anesthesia/psychology , Brain Neoplasms/psychology , Brain Neoplasms/surgery , Preoperative Care/methods , Preoperative Care/psychology , Adaptation, Psychological , Adult , Aged , Female , Humans , Male , Middle Aged , Psychology, Social/statistics & numerical data , Risk FactorsABSTRACT
Own observations and experiments in neuroanaesthesia were presented, some of them controversial and in present day even historical, other put into practice for safety and comfort of patients and neurosurgical team.
Subject(s)
Anesthesia/methods , Anesthesia/standards , Neurosurgical Procedures/methods , Humans , Neurosurgical Procedures/standards , Patient Care Team , Perioperative Care/methodsABSTRACT
Problems resulted from necessity of securing safety for 4500 children with intracranial congenital hydrocephalus and subdural hygromas diagnosed and operated in one-day neurosurgery terms.
Subject(s)
Ambulatory Surgical Procedures/methods , Hydrocephalus/surgery , Neurosurgical Procedures/methods , Subdural Effusion/surgery , Humans , Infant , PolandABSTRACT
The paper outlines the history of experiments on animals in medicine and biology. It also presents the sources of the notion and its evolution along with the roles played by Silesian Medical Academy representative in supporting experimental animals rights.
Subject(s)
Animal Rights/legislation & jurisprudence , Animals, Laboratory , Ethics, Medical , Animals , Biology/legislation & jurisprudence , Humans , Legislation, Medical , PolandABSTRACT
A case is presented of an 8-year-old child reoperated on for recurrence of intracranial expansive lesion. Intraoperative cardiac arrest occurred and resuscitation was unsuccessful. The authors analysed the supposed causes of failures and laid stress on problems which may be encountered by the anaesthesiology-neurosurgical team. A number of physiopathological processes occurring here are presented in mathematical form.
Subject(s)
Brain Neoplasms/surgery , Intraoperative Complications , Medulloblastoma/surgery , Child , Heart Arrest/etiology , Humans , Neoplasm Recurrence, Local , PrognosisABSTRACT
The authors describe a 28-year-old patient with cervical intraspinal tumour in whom permanent apnoea developed after decompression laminectomy and plastic operation of the dura. The patient was artificially ventilated and received intensive therapy but died 2 months after the operation for septic complications.
Subject(s)
Laminectomy/adverse effects , Quadriplegia/etiology , Respiratory Insufficiency/etiology , Spinal Cord Compression/surgery , Spinal Cord Neoplasms/surgery , Adult , Cervical Vertebrae/innervation , Female , Humans , Spinal Cord Compression/etiology , Spinal Cord Neoplasms/complicationsABSTRACT
A case is described of intracranial hypotension after surgical removal of chronic subdural haematoma and hygroma resulting in apnoea lasting several hours. Fully effective anaesthesiological management of this complication is reported.
Subject(s)
Apnea/etiology , Brain Neoplasms/surgery , Cerebrovascular Disorders/etiology , Hematoma, Subdural/surgery , Hypotension/etiology , Lymphangioma/surgery , Brain Neoplasms/complications , Chronic Disease , Hematoma, Subdural/complications , Humans , Intraoperative Complications/etiology , Lymphangioma/complications , Male , Middle AgedABSTRACT
Specific intraoperative complications are described which occur as a result of sitting position of the patients: herniation of the cerebellar tonsils into the great occipital foramen in a case of tumour in cerebellar hemisphere and venous air embolism in another case of tumour in the cervical part of the vertebral canal. Attention is called to certain methods of prevention and diagnosis.